A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect?

Choice A reason: Heat intolerance is a symptom of hyperthyroidism, not hypothyroidism. In myxedema, which is severe hypothyroidism, the metabolic rate is decreased, leading to cold intolerance rather than heat intolerance. Patients often feel excessively cold due to reduced thermogenesis. Choice B reason: Facial edema is a classic finding in myxedema. The edema is non-pitting and results from the accumulation of mucopolysaccharides in the interstitial tissues, which attracts water and causes swelling. This gives the face a characteristic puffy appearance, often accompanied by periorbital edema. This is the correct answer. Choice C reason: Diarrhea is associated with hyperthyroidism due to increased gastrointestinal motility. In hypothyroidism and myxedema, the opposite occurs—patients often experience constipation due to slowed peristalsis and reduced metabolic activity. Therefore, diarrhea is not expected in myxedema. Choice D reason: Tachycardia is a hallmark of hyperthyroidism, where increased thyroid hormone levels stimulate the cardiovascular system. In myxedema, bradycardia is more common due to reduced metabolic demand and decreased sympathetic activity. Thus, tachycardia is not expected in this condition.